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Orange County Health Department TMBL: 3.55.A <br /> Environmental Health Division CA# CA03-00246 <br /> P.Q.Box 8181,306-C Revere Road PIN: 9843137930 <br /> Hillsborough,N.C.27278 <br /> Phone:245-2360 WASTEWATER SYSTEM <br /> FAX 644-3006 INSTALLATION RECORD <br /> Applicant PIEDMONT WILDLIFE CENTERProperty Description: S/O SR 1120 <br /> System Installer: System Type: Conventional(Shallow) <br /> _- _-------------------------------------------------------------------------------- <br /> STB mANU. 1 PT MANU. EFFLUENT FILTER PUMP REQUIREMENTS <br /> ST`B- Z71/ PT- BRAND GPM® TDH <br /> /OOD GAL _/_GAL MODEL4300 6,'8 BRAND <br /> DATE 7-29-03 DATE PIPE SEALS OK MODEL <br /> PSI V PSI ALARM OK <br /> LEAK TEST 4LEAK SUPPLY LINE PULL ROPE <br /> PRETEST# # SIZE: FLOAT SUPPORT <br /> INLET RISER ✓ ER _OK TO COVER FLOAT ADJUSTED <br /> OUTLET RISER✓ RISER _PRESSURE TEST INCLOSE/CONDUIT <br /> DUCT SEAL/GROUT <br /> DATE EHS NOTES YET TO DO <br /> `LIZ 574 FINAL INSPECTION COMPLETED <br /> DIAGRAM <br /> ao - - - - <br /> 1 �- <br /> Eva <br /> r <br /> r - <br /> - I <br /> 1 <br /> f <br /> 233 <br /> CA-00/02 Pick up_ Mail_ File_ Rebietwd <br />